Braxton, Melissa Smith
Braxton, Melissa Smith is an sole proprietor health care provider with primary practice located at 2860 Highway 71 Suite A, Marianna FL 32446-1867. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Braxton, Melissa Smith can be contacted via phone (850) 573-1491.Contact Information
Primary practice address
2860 Highway 71 Suite A
Marianna FL 32446-1867
Phone: (850) 573-1491
Fax: (850) 482-0015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH6772 | Florida |
Profile Details
| NPI number | 1386683647 |
|---|---|
| LBN Legal business name | Braxton, Melissa Smith |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | May 7th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386683647 | NPPES |
| Florida | Other | Z009H | BCBS |
| Florida | MEDICAID | 766568700 | BCBS |
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